Rjesus Luis Rodriguez, ADULT LIVING FACILIT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

AL12078 Issued in FL

Practice address

220 NW 179TH St
Miami Gardens, FL 33169-4910

Phone

(305) 454-9202

Fax

(305) 454-9202

NPI assigned

Aug 12, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Irisleydis Dayamil Sanchez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amor Blessed Sweet Home Inc.

  • Assisted Living Facility (Mental Illness)
  • Miami Gardens, FL
  • NPI 1720337330
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344729600000",
    "number": "1851648612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NW 179TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694910",
            "telephone_number": "305-454-9202",
            "fax_number": "305-454-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW 179TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694910",
            "telephone_number": "305-454-9202",
            "fax_number": "305-454-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RJESUS",
        "middle_name": "LUIS",
        "credential": "ADULT LIVING FACILIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-12",
        "last_updated": "2012-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "AL12078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRISLEYDIS",
            "last_name": "SANCHEZ",
            "middle_name": "DAYAMIL",
            "credential": "ADULT LIVING FACILIT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marvelis Rodriguez
• Melissa Rodriguez
• Melissa Rodriguez
• Natalie Aponte Rodriguez, BEHAVIOR TECHNICIAN
• Nicole Rodriguez, PA-C
• Yadieska Rodriguez
• Yamila Rodriguez
• Yenisleydy Rodriguez
• Yiselis Rodriguez
• Yoanka Rodriguez

• Community Health Worker in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.